Healthcare Provider Details

I. General information

NPI: 1245949742
Provider Name (Legal Business Name): WESTPEAK MOBILITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2022
Last Update Date: 11/23/2022
Certification Date: 11/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 S PLATTE RIVER DR STE J
SHERIDAN CO
80110-3307
US

IV. Provider business mailing address

903 E FILLMORE ST
COLORADO SPRINGS CO
80907-6315
US

V. Phone/Fax

Practice location:
  • Phone: 303-656-2240
  • Fax: 303-648-6867
Mailing address:
  • Phone: 719-299-2167
  • Fax: 719-465-2895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. ALAN D LYNCH
Title or Position: CEO
Credential:
Phone: 719-299-2167